Nocturnal hypoglycemic episodes detected with the CGMS in adolescent patients with type 1 diabetes mellitus

The recent availability of a continuous glucose monitor in pediatric patients offers the opportunity to improve the monitoring in diabetes care. Material and methods: 62 adolescent patients (13–18 years old) with poor controlled type 1 diabetes (av. HbA1c –10.74%, fructosamine –471 mmol/1) were monitored using the Minimed continuous glucose monitoring system (CGMS). Results: A wide range in daily glucose level measurements was observed. There was a considerable increase of glycemia (>250mg%) at the forenoon hours; most episodes occurred between 9 and 10 AM. The more frequent incidences of hypoglycemia (